Jaclyn Braman, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

6 Euclid Ave
Cortland, NY 13045-1257

Phone

(607) 756-4167

NPI assigned

Dec 8, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asi of Cortland, LLC

  • Community/Behavioral Health Agency
  • Cortland, NY
  • NPI 1083915235
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1760926844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EUCLID AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451257",
            "telephone_number": "607-756-4167",
            "fax_number": "607-753-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EUCLID AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451257",
            "telephone_number": "607-756-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Main St",
            "address_2": "Suite 411",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130456606",
            "country_code": "US",
            "telephone_number": "607-756-4167",
            "fax_number": "607-753-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMAN",
        "first_name": "JACLYN",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Boline
• Kirsten Bonnell, MS MHC
• Mary A Borra, CNM
• Thomas James Bottle, LCSW
• Liza Bourdon, MS OTR/L
• Melissa Bramley, LCSW-R
• Robin Ann Brennan, RN
• Diane Marie Briggs, MS, CCC-SLP
• Elizabeth Brigman Belle Brigman, CASAC-T
• Melissa Bromwell, LCSW

• Addiction (Substance Use Disorder) Counselor in Cortland, NY
• Providers in Cortland, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.